JASON BLACKLEDGE

DENHAM SPRINGS, LA
NPI1467239590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT-5595)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
JASON BLACKLEDGE CIT
9171 COCKERHAM RD
DENHAM SPRINGS, LA 70726-2255
Phone number: 255-235-1242
Mailing Address
JASON BLACKLEDGE CIT
9171 COCKERHAM RD
DENHAM SPRINGS, LA 70726-2255
Phone number: 255-235-1242
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